How much rates vary
Facilitymedian $1,288 · 10th to 90th $316 to $2,399Professionalmedian $195 · 10th to 90th $50 to $468
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $165.96 Median $295.12 Typical High $1,023.29 | Facility | None | $165.96 | $295.12 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $295.12 Typical High $575.44 | Professional | None (both parts) | $165.96 | $295.12 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $83.18 Typical High $147.91 | Professional | 26 · Professional part | $46.77 | $83.18 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $204.17 Typical High $398.11 | Professional | TC · Technical part | $117.49 | $204.17 | $398.11 |
BCBS New Mexico Setting Facility Modifier None Typical Low $446.68 Median $1,584.89 Typical High $2,454.71 | Facility | None | $446.68 | $1,584.89 | $2,454.71 |
BCBS New Mexico Setting Professional Modifier None (both parts) Typical Low $38.02 Median $125.89 Typical High $245.47 | Professional | None (both parts) | $38.02 | $125.89 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $407.38 Typical High $537.03 | Professional | None (both parts) | $173.78 | $407.38 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $77.62 Typical High $109.65 | Professional | 26 · Professional part | $50.12 | $77.62 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $323.59 Typical High $436.52 | Professional | TC · Technical part | $125.89 | $323.59 | $436.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $177.83 Typical High $245.47 | Professional | None (both parts) | $33.11 | $177.83 | $245.47 |
Providence Setting Facility Modifier None Typical Low $169.82 Median $407.38 Typical High $478.63 | Facility | None | $169.82 | $407.38 | $478.63 |
Providence Setting Professional Modifier None (both parts) Typical Low $194.98 Median $407.38 Typical High $549.54 | Professional | None (both parts) | $194.98 | $407.38 | $549.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $77.62 Typical High $109.65 | Professional | 26 · Professional part | $50.12 | $77.62 | $109.65 |
Providence Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $323.59 Typical High $436.52 | Professional | TC · Technical part | $138.04 | $323.59 | $436.52 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $758.58 | Facility | None | $346.74 | $346.74 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $309.03 Typical High $512.86 | Professional | None (both parts) | $194.98 | $309.03 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $120.23 | Professional | 26 · Professional part | $48.98 | $60.26 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $251.19 Typical High $380.19 | Professional | TC · Technical part | $144.54 | $251.19 | $380.19 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $81.28 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $33.11 | $58.88 | $58.88 |
Where New Mexico sits
The same service costs 5.5 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New Mexico· 47th of 51
$219
AK $724UT $132
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.